Medvedev, Alexander
Medvedev, Alexander is an sole proprietor health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Medvedev, Alexander can be contacted via phone (847) 618-4180.Contact Information
Primary practice address
800 W Central Rd
Arlington Heights IL 60005-2349
Phone: (847) 618-4180
Fax: (847) 618-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 125057105 | Illinois |
Profile Details
| NPI number | 1588893101 |
|---|---|
| LBN Legal business name | Medvedev, Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Dec 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588893101 | NPPES |
| Illinois | Other | 036128731 | STATE LICENSE |
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